Bilateral facial paralysis: case presentation and discussion of differential diagnosis.

@article{Jain2006BilateralFP,
  title={Bilateral facial paralysis: case presentation and discussion of differential diagnosis.},
  author={Vishal Jain and Anagha Deshmukh and Stephen M. Gollomp},
  journal={Journal of general internal medicine},
  year={2006},
  volume={21 7},
  pages={C7-10}
}
Bilateral facial paralysis is a rare condition and therefore represents a diagnostic challenge. We report the case of a 34-year-old healthy woman with sequential bilateral facial paralysis as a sole manifestation of sarcoidosis. She initially presented with an isolated left sided Bell's palsy without any symptoms to suggest alternative diagnoses. Within a month there was progression to peripheral facial paresis on the contra lateral side, prompting a diagnosis of Lyme disease. Her physical… CONTINUE READING